Date

Company Name

Contact Person *

Contact's Email *

Number of Employees *

CATEGORY / PRICING:

Direct On-site Pick up
· $195 Admin Fee (no minimum count but photo is required prior to pick-up)
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KPI Team Pick up & Drop off to KPI Office
· $10 per 5 Phones or less / 10 Accessories or less (e.g keyboard, mouse, PC speaker, etc)
· $15 per Switch / Firewall / Access Point
· $20 per Desktop / Laptop / Monitor / Items of similar size and weight
· $30 per Server / UPS / Printer / UPS Battery or Items with similar size and weight

DISCLAIMER: Any single item/hardware greater than 50lbs is subject to a different pricing. If KPI needs to arrange a 3rd party shipping carrier (FedEx, UPS, USPS), a shipping fee may be added. KPI will also request/require a photo for each recycling pickup request. KPI will send a quote and then schedule a pick-up or shipment upon approval.

Please choose:

Direct On-site Pick-up

KPI Team Pick up & Drop off to KPI Office

COPY OF CERTIFICATE

I would like a copy of the Certificate of Destruction for the PC / Server hard drive(only) from this request.

Additional Comments / Questions: *

PLEASE LIST THE ITEMS THAT NEEDS TO BE RECYCLED:

Quantity:

Description:

PICK-UP INFORMATION:

Pick-up Address

Contact Number

ACKNOWLEDGEMENT

The Certificate of Destruction may not be available until 4-6 weeks from the time it's received in the recycling company's warehouse. If KPI picks up the recycling from the client's site, there may be a longer lead time as the items will be stored in KPI's secured storage until we schedule a pick up.

Please verify your request*